Individual provider · Type 1 NPI
Joan Desmond
Addiction (Substance Use Disorder) Counselor · Freeport, NY
NPI number
1619408747
Active
Practice location
333 N Main St
Freeport, NY 11520-1231
Mailing address
265 Edgewater Ave
Bayport, NY 11705-2103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2909 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1619408747
Joan Desmond's National Provider Identifier is 1619408747, issued on Mar 21, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Freeport, NY. The record was last updated on Mar 21, 2017.